[{"@context":"https:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/nqsurgicaldentistry.com.au\/2017-classification-of-periodontal-and-peri-implant-diseases-and-conditions-ph-64\/#BlogPosting","mainEntityOfPage":"https:\/\/nqsurgicaldentistry.com.au\/2017-classification-of-periodontal-and-peri-implant-diseases-and-conditions-ph-64\/","headline":"2017 CLASSIFICATION OF PERIODONTAL AND PERI-IMPLANT DISEASES AND CONDITIONS – PH-64","name":"2017 CLASSIFICATION OF PERIODONTAL AND PERI-IMPLANT DISEASES AND CONDITIONS – PH-64","description":"[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”4.0.3″][et_pb_fullwidth_header _builder_version=”4.9.7″ title_font_size=”40px” background_enable_color=”off” background_image=”https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2021\/07\/DSC_0004.jpg” custom_padding=”20px||20px||true|false” custom_css_main_element=”height: 370px; padding: 1px;” button_one_letter_spacing_hover=”0″ button_two_letter_spacing_hover=”0″ button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”on” button_one_letter_spacing__hover=”0″ button_two_letter_spacing__hover_enabled=”on” button_two_letter_spacing__hover=”0″ button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_fullwidth_header][et_pb_fullwidth_header title=”2017 CLASSIFICATION OF PERIODONTAL AND PERI-IMPLANT DISEASES AND CONDITIONS” _builder_version=”4.9.7″ title_font_size=”40px” background_color=”#0aaaaf” min_height_tablet=”240px” min_height_phone=”650px” min_height_last_edited=”on|phone” custom_padding=”20px||20px||true|false” hover_enabled=”0″ custom_css_main_element=”height: 180px; padding: 1px;” button_one_letter_spacing_hover=”0″ button_two_letter_spacing_hover=”0″ button_one_text_size__hover_enabled=”off” […]","datePublished":"2021-07-07","dateModified":"2021-07-08","author":{"@type":"Person","@id":"https:\/\/nqsurgicaldentistry.com.au\/author\/admin\/#Person","name":"admin","url":"https:\/\/nqsurgicaldentistry.com.au\/author\/admin\/","image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/7e8332d597554647ad1a751e441d0749?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/7e8332d597554647ad1a751e441d0749?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"Dr Colin Priestland","logo":{"@type":"ImageObject","@id":"https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/index.png","url":"https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2016\/06\/index.png","width":577,"height":143}},"image":{"@type":"ImageObject","@id":"https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2021\/07\/DSC_0004.jpg","url":"https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2021\/07\/DSC_0004.jpg","height":1064,"width":1600},"url":"https:\/\/nqsurgicaldentistry.com.au\/2017-classification-of-periodontal-and-peri-implant-diseases-and-conditions-ph-64\/","about":["1. Patient information Sheets","General Information"],"wordCount":1760,"articleBody":"\t\t\t\t\t[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”4.0.3″][et_pb_fullwidth_header _builder_version=”4.9.7″ title_font_size=”40px” background_enable_color=”off” background_image=”https:\/\/nqsurgicaldentistry.com.au\/wp-content\/uploads\/2021\/07\/DSC_0004.jpg” custom_padding=”20px||20px||true|false” custom_css_main_element=”height: 370px; padding: 1px;” button_one_letter_spacing_hover=”0″ button_two_letter_spacing_hover=”0″ button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”on” button_one_letter_spacing__hover=”0″ button_two_letter_spacing__hover_enabled=”on” button_two_letter_spacing__hover=”0″ button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_fullwidth_header][et_pb_fullwidth_header title=”2017 CLASSIFICATION OF PERIODONTAL AND PERI-IMPLANT DISEASES AND CONDITIONS” _builder_version=”4.9.7″ title_font_size=”40px” background_color=”#0aaaaf” min_height_tablet=”240px” min_height_phone=”650px” min_height_last_edited=”on|phone” custom_padding=”20px||20px||true|false” hover_enabled=”0″ custom_css_main_element=”height: 180px; padding: 1px;” button_one_letter_spacing_hover=”0″ button_two_letter_spacing_hover=”0″ button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”on” button_one_letter_spacing__hover=”0″ button_two_letter_spacing__hover_enabled=”on” button_two_letter_spacing__hover=”0″ button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_enabled=”0″][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=”1″ custom_padding_last_edited=”on|desktop” admin_label=”section” _builder_version=”4.9.3″ background_color=”#ffffff” custom_margin=”||||false|false” custom_margin_tablet=”” custom_margin_phone=”” custom_margin_last_edited=”on|phone” custom_padding=”||||false|false” custom_padding_tablet=”” custom_padding_phone=”12%||||false|false” top_divider_style=”wave2″ top_divider_color=”#0aaaaf” top_divider_height=”32px” transparent_background=”off”][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text ol_type=”lower-alpha” _builder_version=”4.9.7″ z_index_tablet=”500″]American Academy of Periodontology & European Federation of Periodontotology November 2017Periodontal diseases (gum diseases) are now classified according to the condition present, its stage affecting the patient, the extent of involvement of the dentition and the rate of progression. This leaflet is to clarify for patients and members of the dental team what the classification is and how it relates to the level of periodontal disease that affects a patient.There are 3 MAJOR categories of periodontal disease and conditions:1. Periodontal health and degree of gingival health or disease.Periodontal health (no bone loss) & gingival health (no soft gum tissue inflammation)\u00a0Gingivitis (gum inflammation) caused by the presence of plaque\/biofilmGingivitis (gum inflammation) not caused by the presence of plaque\/biofilm)2. PeriodontitisNecrotising (ulcerative forms)Periodontitis (bone loss) as a manifestation of systemic\/general illnessPeriodontitis (see below)3. Other conditions affecting the periodontium (tooth supporting tissues)Systemic disease affecting the health of the periodontium (tissues supporting teeth)Periodontal abscess or combination of periodontal and endodontic infection (combined infection relating to both the tissues supporting the teeth and the pulp and tissues within the tooth)Mucogingival conditions \u2013 abnormality of the soft tissue arrangement around the toothTraumatic occlusion \u2013 a loose tooth being subjected to heaving biting forces or forces that are not along the long axis of the toothTooth-related or prosthesis-related factors4. Periodontal \u2013 Peri-implant DiseasesPeri-implant healthPeri-implant mucositisPeri-implantitisPeri-implant soft- and hard-tissue deficienciesThe next part of the classification process is to address:STAGE OF DISEASE (initial, moderate, severe 1 and severe 2)EXTENT OF DISEASE (localised, generalised, incisal-molar)PROGRESSION OF DISEASE (slow, moderate, rapid)STAGING: 1. Stage 1 (initial disease)1-2mm of lost clinical soft tissue attachment<15% loss of bone supporting the teethNo tooth loss due to periodontal disease<4mm pocket depthsMostly horizontal pattern of bone loss or loss of clinical attachment\u00a02. Stage 2 (moderate disease)3-4mm of lost clinical soft tissue attachment15-33% loss of bone supporting the teethTooth loss\u00a0<5mm pocket depthsMostly horizontal pattern of bone loss or loss of clinical attachment3. Other Stage 3 (severe disease with the potential for additional tooth loss)>5mm of lost clinical soft and hard tissue attachment>33% bone loss\u00a0Loss of 4 or less teeth due to periodontal disease>6mm pocket depths>3mm of vertical bone lossClass 3 \u201cthrough-and-through\u201d furcation involvements4. Stage 4 (severe disease with potential for loss of the dentition)All those factors outlined in Stage 3 plus additional factorsNeed for complex dental rehabilitationSecondary occlusal traumaRidge defectsCollapse of the bite and Tooth migration<20 teeth or 10 pairs of opposing teethEXTENT:Localised <30% of the teethGeneralised >30% of the teethIncisal and molar distributionRATE OF PROGRESSION:GRADE A \u2013 (slow progression):No apparent loss of bone or clinical attachment over 5 yearsNo smokingNo diabetesMinimal biofilmGRADE B (moderate progression)>2mm of apparent bone and clinical attachment loss over 5 yearsSmoking up to half a pack a dayHbA1c <7% (glycolated haemagobin measures recent sugar intake)Destruction commensurate with biofilm presentGRADE C (rapid progression)>2mm of apparent bone and clinical attachment loss over 5 yearsSmoking > half a pack a dayHbA1c >7%Destruction appears excessive for the Biofilm 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